Marianna Family Care Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME61655 Issued in FL

Legal business name

MARIANNA FAMILY CARE CENTER LLC

Practice address

2928 Daniels Street
Marianna, FL 32446

Phone

(850) 526-3555

Fax

(850) 526-3570

NPI assigned

Sep 21, 2006

Last updated

Jan 26, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Horacio Jorge Rodriguez-Jimenez, MD

Title

Medical Director

Phone

(850) 526-3555

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1073611067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 DANIELS ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462912",
            "telephone_number": "850-526-3555",
            "fax_number": "850-526-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 DANIELS STREET",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "32446",
            "telephone_number": "850-526-3555",
            "fax_number": "850-526-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNA FAMILY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-JIMENEZ",
        "authorized_official_first_name": "HORACIO",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "850-526-3555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME61655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC0337",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45283",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255784300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LP Marianna LLC (Signature HealthCARE at The Courtyard)
• Murali Krishna Maddipati, M.D.,
• Magnolias Pediatric Therapy LLC
• Mary E Maldonado, ARNP
• Marianna Emergency Group, LLC
• Marianna Family Care Center, LLC (N/a)
• Marianna HCC LLC
• Marianna Health & Wellness, P.a.
• Marianna Imaging, LLC
• Marianna Medical Associates Inc

• Internal Medicine Physician in Marianna, FL
• Providers in Marianna, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.